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. 2019 May;45(3):610-614.
doi: 10.1016/j.burns.2018.10.009. Epub 2018 Nov 11.

Keloid negatively affects body image

Thamy Harumi Cardoso Motoki  1 , Felipe Contoli Isoldi  2 , Maria José de Azevedo Brito  1 , Alfredo Gragnani Filho  1 , Lydia Masako Ferreira  1
Affiliations

Keloid negatively affects body image

Thamy Harumi Cardoso Motoki et al. Burns. 2019 May.

Abstract

Background/objectives: Keloid is a healing disorder that occurs exclusively in humans. This pathology is considered a benign cicatricial neoplasm, whose physiopathogenesis has not yet completely clarified. Its disfiguring appearance often could potentially cause a disturbance in the patient regarding his/her body image. The objective is to evaluate the impact of keloid on body image.

Methods: 61 patients with keloid in socially exposed regions of the body were included. The participants were submitted to clinical evaluation, composed of anamnesis and physical examination, and answered two questionnaires: the Body Dysmorphic Symptoms Scale (BDSS) questionnaire and the Rosenberg Self-Esteem Scale - Unifesp/EPM.

Results: Forty percent of the patients had negative aspects of body image (BDSS score≥6). The scores of these patients on the Rosenberg Scale reached an average of 10.5 (p<0.03).

Conclusions: The presence of a keloid negatively affects body image.

Keywords: Body dysmorphic disorders; Body image; Keloid; Self concept; Wound healing.

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